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Contact Information

BEA, LLC
5705 SALEM RUN BLVD
SUITE 100
FREDERICKSBURG, VA22407-7119
 Phone: 540-786-4882
 Fax: 540-786-4893
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BEA, LLC

NPI # 1831483734
LBN Legal business name BEA, LLC
Authorized official STEVEN SHIELDS - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Identifiers
VA License # 0104555602
VA Other 0104555602 VIRGINIA MEDICAL LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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